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Skills

  • Long-term provider satisfaction management
  • Loss prevention management
  • Escalation reduction strategies
  • Training and mentoring
  • Immunizations
  • Therapy programs
  • Operational efficiency improvements
  • Accreditation coordination
  • Budgeting and fiscal management in healthcare
  • Multi-year contract strategy

Work Experiences

  • Achieved compliance with Scrum Master standards.
  • Worked with the store manager to keep things running smoothly on a daily basis.
  • Achieved results in less than 3 months.
  • Added 7 providers.
  • Implemented billing best practices, which resulted in a significant reduction in accounts receivable delays.
  • Compounding, mixing, packaging, and labeling procedures were all implemented by me.
  • Achieved a 65% increase in provider retention.
  • Created and updated HIPAA, benefits administration, and general liability policies and procedures while adhering to statutory, regulatory, and local, state, and federal guidelines.
  • Redesigned patient access and back-office workflow processes, resulting in a system-wide staffing cost reduction of 18%.
  • Provided information on various immunizations to patients and patrons, including flu, DTaP, and HPV vaccines.

Summaries

  • Healthcare administrator with a track record of providing high-quality healthcare services to patients.
  • Achieved a 23% improvement within 17 quarters.
  • Costs were consistently reduced while profits were increased.
  • Director of Provider Relations with 17 years of successful cross-functional collaboration and performance reporting experience.
  • Oversee human resources, budgeting, supply management, and patient services with success.
  • Achieved President's Club in 2024.
  • Aligned compensation models with market trends.
  • Professional with experience in recruiting, training, and managing employees to provide exceptional resident services in the healthcare industry.
  • Achieved $5 in cost savings.
  • Accomplished Director of Provider Relations.

Accomplishments

  • Established a provider performance evaluation system based on KPIs, improving productivity rates by 62% across multi-location practices.
  • Leveraged community relations to introduce health education programs in collaboration with contracted providers, expanding community outreach by 18% attendees.
  • Achieved OSHA from program, showcasing expertise in healthcare provider relations and ensuring latest industry best practices were implemented.
  • Documented and resolved initiative which led to program.
  • Led diversity initiatives within provider recruitment, increasing representation by 39% across various specialties in underserved areas.
  • Negotiated favorable contract terms with providers, reducing operational and contractual costs by $11 and improving profitability.
  • Aligned provider onboarding and compliance processes with regulations, reducing governance-related delays by 42% days.
  • Enhanced patient referral system, improving communication between primary care providers and specialists, reducing referral delays by 83% days.
  • Redesigned provider engagement programs, leading to a 54% increase in response rates to policy changes and updates.
  • Formulated and executed a strategic plan that increased provider network access in key underserved regions by 54%, enhancing patient outcomes.

Affiliations

  • National Association of Managed Care Physicians (NAMCP)
  • American Association of Provider Relations Professionals (AAPRP)
  • Society of Women Engineers
  • Toastmasters
  • Business Professionals Networking Group
  • Council for Affordable Quality Healthcare (CAQH)
  • Association for Computing Machinery
  • Association for Health Care Resource & Materials Management (AHRMM)
  • Healthcare Financial Management Association (HFMA)
  • Health Care Compliance Association (HCCA)

Certifications

  • ServSafe
  • Project Management Professional (PMP) – 2024
  • Healthcare Provider Excellence Certification – Northwind
  • Microsoft Certified Systems Engineer (MCSE)
  • Conflict Resolution in Healthcare Certification – 2020
  • Apple Certified Associate (ACA)
  • Certified Healthcare Access Manager (CHAM)
  • CompTIA Security+
  • Lean Healthcare Certification – 2015
  • Certified Healthcare Financial Professional (CHFP) - 2022

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